RICKIE WAYNE PENNY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018911

License Status

INACTIVE

Business

First Name

RICKIE WAYNE

Last Name

PENNY

Business Name

RICKIE WAYNE PENNY

Original Issue Date

11/03/1983

Effective Date

09/28/2015

Expiration Date

09/30/2018

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

06/07/2018